Individual provider Active NPI

Elizabeth Maalihan Andal

  • Psychiatric/Mental Health Registered Nurse
  • Henderson, NV
National Provider Identifier
1437464443
Registry record updated Feb 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
324095 Issued in CA
Practice address
35 E Horizon Ridge Pkwy
110-234
Henderson, NV 89002-7905
Phone
(661) 374-3971
NPI assigned
Aug 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 324095 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X 324095 CA Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X CNS2651 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 186271 CA
Mental Health Counselor 101YM0800X RN69037 NV

Addresses

Primary practice location

35 E Horizon Ridge Pkwy
110-234
Henderson, NV 89002-7905

Mailing address

35 E Horizon Ridge Pkwy
110-234
Henderson, NV 89002-7905
Phone (661) 374-3971

Other identifiers 1

IdentifierTypeStateIssuer
304236700MedicaidFL

Other names 1

  • Dr. Elizabeth Andal Sorrentino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN69037NVMDMental Health Counselor
324095CAMDPsychiatric/Mental Health Registered Nurse
186271CAMDPsychiatric/Mental Health Nurse Practitioner
CNS2651CAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328918400000",
    "number": "1437464443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E HORIZON RIDGE PKWY",
            "address_2": "110-234",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027905",
            "telephone_number": "661-374-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E HORIZON RIDGE PKWY",
            "address_2": "110-234",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027905",
            "telephone_number": "661-374-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDAL",
        "first_name": "ELIZABETH",
        "middle_name": "MAALIHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2012-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "324095",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "324095",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "CNS2651",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "186271",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "RN69037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304236700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SORRENTINO",
            "middle_name": "ANDAL",
            "prefix": "DR.",
            "credential": "PHD, APRN-BC, PMHCNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.